BUPRENORPHINE-NALOX 2-0.5MG FM

Drug Details

Brand Name: BUPRENORPHINE-NALOX 2-0.5MG FM

Generic Name: buprenorphine HCl/naloxone HCl

Manufacturer: ALMATICA PHARMA

NDC: 52427069203

Package size: 30EA

Family Planning drug: No

Diabetic Supply Drug: No

HTW drug: No

HTWPlus drug: Yes

Long-acting reversible contraception product: No

Refill-to-soon Utilization*: 90%

Specialty Drug†: No

Retail Pharmacy Cost: 3.62534

Retail Pharmacy Eff Date: 03/07/2023

Specialty Pharmacy Cost: 3.40338

Specialty Pharmacy Eff Date: 03/07/2023

Long-term Care Pharmacy Cost: 3.57355

Long-term Care Pharmacy Eff Date: 03/07/2023

340B Rate: 1.59071

Premium Preferred Generic Incentive‡: No

Effective date: 12/12/2019

Compound-only use: No

PDL PA Required: No

PDL Class: OPIATE DEPENDENCE TREATMENTS

FFS Clinical PA Required‡: Yes

Part B Cost-share Drug**: No

Part D Wrap-around Drug***: No

Effective date: 12/12/2019

Effective date: 12/12/2019

Compound-only use: No

Effective date: 09/01/2020